Mar 31, 2023 | Claims, Claims Management, Direct-to-Employer Contracting, Forensic claims review, MedBen University, Medical necessity, Roundtables
Contracting directly with a health system offers employers pricing control, member access to high-quality local care, and the flexibility to create multiple benefit options. At this year’s MedBen University roundtables, Regional Sales Director Brooke Hupp...
Mar 20, 2023 | Brian Fargus, Claims, Claims Management, Inflation, MedBen University, Transplants, Wellness
At the MedBen Broker Roundtable on March 16, Vice President of Sales & Marketing Brian Fargus discussed the trend of rising multi-million-dollar claims, and offered a variety of proven solutions. Citing a recent Sun Life high-cost claims analysis, Fargus said,...
Feb 3, 2023 | Alternative Reimbursement Strategies, Claims, Cost Savings, Direct-to-Employer Contracting, Drug costs, Forensic claims review, Gene therapy, Health care costs, Inflation, MedBen Rx, MedBen WellLiving, Prescription, Rx Costs, Savings, Specialty Drugs, Wellness
Even though health care costs have not seen the same rate of inflation as other industries, that’s about to change. Fortunately, MedBen has a variety of inflation-hedging solutions to counter rising costs. As a recent Self-Insurer article notes, health care...
Jul 26, 2022 | Cancer, Claims, COVID-19, Heart, Mental Health, Stop-Loss
Cancer and cardiovascular conditions account for over one-third of stop-loss reimbursements, according to a recent report from stop-loss carrier Sun Life.As the chart below shows, the top three conditions represent 38% of total payments. Additionally, 70% of all...
Oct 6, 2021 | Case Studies, Claims, Claims Management, Cost Savings, Forensic claims analysis, Savings
A MedBen Client received two large dollar claims for Mast Cell Activation Disease, both of which were flagged. In addition to occurrences of unbundling, following physician review it was determined that the length of hospital stay exceeded standards for medical...
Sep 15, 2021 | Announcements, Claims, MedBen Access, Online Services, Plan Design
MedBen Access has a new look! Our online services portal offers improved functionality and newly added quick-access icons, allowing users to access benefits and claims information with ease and convenience. When you go to the home page, you’ll immediately notice...
